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General NPI Number Information
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NPI Number | 1982944740
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Entity Type | Organization
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Legal Business Name | THERAPY SERVICES OF SFL INC
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 7005 NW 40TH CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2211
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Country | US
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Telephone | 954-914-9175
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Fax | 954-575-3971
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Provider Business Mailing Address
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Address Line | 7005 NW 40TH CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2211
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Country | US
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Telephone | 954-914-9175
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Fax | 954-575-3971
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Authorized Official
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Title or Position | PRESIDENT
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Name | OLGA BOUDREAU
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Credential | RPT
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Telephone | 954-914-9175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PT 17947
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License Number State | FL
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